Background: Peripartum hysterectomy (PH) is an emergency obstetric procedure performed most commonly for intractable postpartum haemorrhage. Objectives: Our aim was to study the patient demographics, incidence, indications of PH and compare emergency vs elective PH. Patients and methods: This was a retrospective analysis of all cases of PH performed over 5 years at our tertiary care hospital. The association of variables was based on Chi-square test and Fisher's exact test. Mann-Whitney U-test was used to compare the distributions between groups.Results: A total of 53 peripartum hysterectomies were done in a period between January 2016to December 2020. Incidence of PH was 1.71/1000 deliveries. PPH was the commonest indication of PH followed by placenta previa. 12 were planned elective PH. Haemorrhage and bladder injury were commonly encountered intra-op complications. ICU admissions were mainly for management of shock, disseminated intravascular coagulation and renal failure. There were 7 maternal deaths noted. Emergency PH were associated with overall higher mortality and morbidity than elective PH. Conclusion: Multidisciplinary approach involving an experienced obstetrician, anaesthetist, urologist & intensivist is needed for management of patients warranting PH. Haemorrhage continues to be leading indication for Emergency PH with higher risk of mortality. Antenatal anticipation of risk factors and early referral will help reduce maternal mortality.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.